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CMS town hall adds to confusion over Section 111 reporting obligations of accident and health insurers; controversy emerges over insurer's "duty to protect medicare's interests"

  • Wiley Rein LLP
  • -
  • USA
  • -
  • April 8 2011

On April 6, 2011, the Centers for Medicare & Medicaid Services (CMS) held a Town Hall teleconference focusing on policy issues related to Non-Group Health Plan (NGHP) mandatory insurer reporting under Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007

GAO and federal court weigh in on Section 111 infirmities but it's business as usual for CMS during town hall call

  • Wiley Rein LLP
  • -
  • USA
  • -
  • April 27 2012

The most newsworthy Section 111 developments come from a federal District Court that recently declared a legal malpractice insurer not to be a Responsible Reporting Entity (RRE) and the U.S. Da Silva Moore

Section 111 bulletin: CMS significantly revises mandatory insurer reporting guidance for NGHP responsible reporting entities

  • Wiley Rein LLP
  • -
  • USA
  • -
  • February 26 2010

In a Section 111 "town hall" teleconference for Non-Group Health Plans (NGHPs) held on February 25, 2010, the Centers for Medicare & Medicaid Services (CMS) announced major revisions to previously issued guidance for Responsible Reporting Entities (RREs), no doubt welcomed by many self-insured entities but which will impose greater burdens on insurers due to issues of substantial impracticality

March 16, 2010 town hall teleconference overview: CMS takes stock of its to-do list

  • Wiley Rein LLP
  • -
  • USA
  • -
  • March 17 2010

On March 16, 2010, the Centers for Medicare & Medicaid Services (CMS) held its monthly teleconference for non-group health plans (NGHPs) that focuses on policy issues related to the implementation of Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007

The real scoop on the purported insurer duty "to protect Medicare's interest" and pay for future medicals

  • Wiley Rein LLP
  • -
  • USA
  • -
  • June 28 2013

Last month, in an article published in the DRI magazine For the Defense, we wrote that "confusion and misinformation regarding liability insurer

Further delay of Section 111 mandatory insurer reporting remains a real possibility

  • Wiley Rein LLP
  • -
  • USA
  • -
  • September 22 2011

During the September 21, 2011 Town Hall teleconference held by the Centers for Medicare & Medicaid Services (CMS), callers asked CMS if it would again be delaying the implementation of mandatory insurer reporting for certain Non-Group Health Plans (NGHPs) under Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007

Congress passes long-awaited reforms to the Medicare secondary payer recovery process, including elimination of SSN reporting, but built-in regulatory delays could postpone insurer relief

  • Wiley Rein LLP
  • -
  • USA
  • -
  • January 4 2013

Both the Senate and the House have passed year-end legislation amending the Medicare Secondary Payer (MSP) statute and reforming the process by which

Section 111 Bulletin: a closer look at Medicare's significant revisions to mandatory insurer reporting guidance for property and casualty insurers

  • Wiley Rein LLP
  • -
  • USA
  • -
  • March 4 2010

On February 26, 2010, the Centers for Medicare & Medicaid Services (CMS) released Version 3.0 of the MMSEA Section 111 User Guide for Non-Group Health Plans (NGHPs

Medicare narrows required reporting by insurers; Town Hall reveals disconnect with insurers on key questions regarding pre-1980 exposures

  • Wiley Rein LLP
  • -
  • USA
  • -
  • April 15 2013

On April 9, 2013, the Centers for Medicare & Medicaid Services (CMS) held its first Town Hall Teleconference of the year for Non-Group Health Plans

Legislative fix introduced in Congress to Section 111 reporting hurdles; bill also seeks broader MSP reforms

  • Wiley Rein LLP
  • -
  • USA
  • -
  • March 12 2010

The Medicare Secondary Payer Enhancement Act of 2010 (H.R. 4796) was introduced in the House of Representatives on March 9, 2010 by Congressmen Patrick Murphy (D. Pennsylvania) and Tim Murphy (R. Pennsylvania